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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197607430
Report Date: 08/07/2025
Date Signed: 08/07/2025 12:10:25 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/30/2025 and conducted by Evaluator Antonine Richard
COMPLAINT CONTROL NUMBER: 11-AS-20250730132939
FACILITY NAME:COMFORT HOME FOR ELDERLYFACILITY NUMBER:
197607430
ADMINISTRATOR:SOCORRO TRINIDADFACILITY TYPE:
740
ADDRESS:2729 WESTWOOD BLVD.TELEPHONE:
(310) 470-7302
CITY:WESTWOODSTATE: CAZIP CODE:
90064
CAPACITY:6CENSUS: 4DATE:
08/07/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Socorro TrinidadTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff did not ensure the fire alarms were working property.
INVESTIGATION FINDINGS:
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On 08/07/2025, Licensing Program Analyst (LPA) Antonine Richard conducted an initial 10-day complaint visit to facility and deliver findings. LPA was granted access and allowed to enter the facility to conduct the inspection. LPA Richard was met by staff Nelly Salvador, and the purpose of today’s visit was explained. Later was joined by the Administrator Socorro Trinidad.

Investigation consisted of the following: On 08/07/2025, LPA requested and obtained the staff roster, resident roster, and duty logs of Staff to determine which staff members were at the facility during the time the fire alarms didn’t set off, and the Facility Plan of Operation. LPA interviewed the Administrator #1 (A1) and Staff #1 (S1). LPA toured the facility.

Report Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 11-AS-20250730132939
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: COMFORT HOME FOR ELDERLY
FACILITY NUMBER: 197607430
VISIT DATE: 08/07/2025
NARRATIVE
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Allegation: Staff did not ensure the fire alarms were working properly.

The complaint alleges that the fire alarms were unplugged; if there had been a fire, the fire alarms would not have sounded. On August 7, 2025, at 9:45 a.m., LPA Richard interviewed Administrator #1 (A1), who stated that on June 25, 2025, one of the residents passed away at the facility. The staff were busy dealing with the resident's passing, and one of the caregivers left a bagel in the microwave that burnt, causing the whole kitchen and living room to smell burnt. There was no fire or smoke to trigger the alarms. On August 7, 2025, LPA interviewed staff member #1 (S1), who reported that there was no smoke, only the smell of a burning bagel. At 10:00 AM on the same day, LPA Richard toured the facility and noted that there were eight smoke detectors, and that the fire alarm system was combined into one system and in operable condition. At 10:30 AM, LPA tested all eight smoke and fire alarms, finding that they all functioned properly. LPA also observed that the fire alarms are electric and not plugged in, with the exception of the carbon monoxide alarm.

Based on observation and interviews conducted, there is insufficient evidence to support the allegation: Staff did not ensure the fire alarms were working properly. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation is Unsubstantiated.

There were no deficiencies cited on today's visit.

An exit interview was conducted. A copy of this report was provided to the Administrator, Socorro Trinidad.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Antonine Richard
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2